Parkinson's disease in women: mechanisms underlying sex differences

B Vaidya, K Dhamija, P Guru, SS Sharma - European journal of …, 2021 - Elsevier
B Vaidya, K Dhamija, P Guru, SS Sharma
European journal of pharmacology, 2021Elsevier
Parkinson's disease is a neurodegenerative disease which is associated with different
motor, cognitive and mood-related problems. Though it has been established that
Parkinson's disease is less prevalent in women in comparison to men, the differences tend
to diminish with the advancing age. Different genetic, hormonal, neuroendocrinal and
molecular players contribute towards the differences in the Parkinson's disease
pathogenesis. Furthermore, data available with respect to the therapeutic management of …
Abstract
Parkinson's disease is a neurodegenerative disease which is associated with different motor, cognitive and mood-related problems. Though it has been established that Parkinson's disease is less prevalent in women in comparison to men, the differences tend to diminish with the advancing age. Different genetic, hormonal, neuroendocrinal and molecular players contribute towards the differences in the Parkinson's disease pathogenesis. Furthermore, data available with respect to the therapeutic management of Parkinson's disease in females is limited; women often tend to suffer more from the side effects of the currently available drugs. The present review highlights the sex-specific differences which play a role in the manifestation of these symptoms and side effects of the currently available therapeutic strategies. We have also discussed the current and upcoming therapeutic strategies which are in the clinical trials such as adenosine 2A (A2A) receptor antagonists, estrogen replacement therapy, α-synuclein targeting vaccines and antibodies, Botulinum toxin A, Fas-associated factor-1 (FAF-1) inhibitors, thiazolidinediones, 5-HT1A receptor agonists, dopamine D1/D5 receptor agonists, Glucagon-like peptide 1 (GLP-1) analogues and certain plant based principles for the treatment of Parkinson's disease in women.
Elsevier
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